Surgical Techniques for the Liver and Biliary Tract

A six-year-old neutered female albino ferret was presented with an acute episode of lethargy and anorexia. Clinical examination revealed marked cranial abdominal pain. A severe neutrophilic leukocytosis was present. Abdominal ultrasound was consistent with a diffuse peritonitis and severe bile duct inflammation. Cytology of the abdominal effusion revealed bile peritonitis. An exploratory laparotomy was performed and the gall bladder appeared inflamed with multiple perforations. A cholecystectomy was performed. The ferret recovered without complication. Bacteriological culture of the bile and gall bladder yielded a pure growth of Pseudomonas aeruginosa. Histopathological analysis of the gall bladder and liver was consistent with a marked cholecystitis and cholangiohepatitis. On the basis of sensitivity testing, the ferret was treated with marbofloxacin for one month. No complications or reoccurrence were seen up to 1 year after the diagnosis. To the author's knowledge, this is the first report of bile peritonitis secondary to gall bladder rupture in a ferret.

Section: Discussionmentioning

confidence: 92%

Gall bladder rupture associated with cholecystitis in a domestic ferret (Mustela putorius)

Huynh

Guillaumot²,

Hernandez

et al. 2014

“…Surgical resectability, approach (Covey et al . ), surgical technique (Blass & Seim , Covey et al . ), patient prognosis (Liptak et al .…”

Section: Introductionmentioning

confidence: 99%

“…However, liver lobectomy or partial lobectomy is a challenging surgical procedure with reported complication rates of up to 26% (Liptak et al 2004, May & Mehler 2011. Surgical resectability, approach (Covey et al 2009), surgical technique (Blass & Seim 1985, Covey et al 2009), patient prognosis (Liptak et al 2004, Covey et al 2009), and anticipated complications (Liptak et al 2004, May & Mehler 2011 vary considerably with the location of the mass within the liver. The left hepatic lobes are relatively mobile and are separated from the remaining liver by a deep fissure.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic and CT accuracy in localising surgical‐ or necropsy‐ confirmed solitary hepatic masses in dogs

Cheney

Coleman

Voges

et al. 2019

Objectives To estimate the sensitivity and specificity of ultrasound and CT for localising solitary hepatic masses to particular liver divisions. Materials and Methods Dogs diagnosed with a solitary liver mass by ultrasound and/or CT, with surgical or necropsy confirmation within 1 month of imaging. Ultrasound reports were reviewed for mass location. CT scans were reviewed by two radiologists and mass location was determined by consensus agreement. Sensitivity and specificity were calculated for ultrasound and CT for each liver division. Results Fourteen of 71 dogs had CT only, 27 of 71 had ultrasound only and 30 of 71 had both. Location was correctly predicted in 42 of 57 dogs (74%) by ultrasound and in 37 of 44 dogs (84%) by CT. Both CT and ultrasound had high specificity for localising masses in all divisions. Sensitivity varied among divisions and was highest for left division masses. Clinical Significance The results suggest that either imaging modality is appropriate for presurgical planning. Prospective studies are recommended to help identify additional factors that may aid in determination of hepatic mass location.

“…The liver has an immense metabolic reserveeven 70 per cent resection may not result in gross metabolic abnormalities (Blass and Seim 1985). The amount of liver that can be resected with little consequence is variable but it is usually regarded as approximately 70 per cent of the total liver weight (Furneaux 1975).…”

Section: Introductionmentioning

confidence: 99%

“…In general, the greater the degree of excised liver tissue, the longer the time biochemical parameters required to return to normal values; return to normal morphology took twice as long as that to biochemical recovery (Nohara 1979). The major technical challenge of liver surgery is haemostasis (Blass and Seim 1985).…”

Section: Introductionmentioning

confidence: 99%

Partial hepatectomy in two dogs

Fry

Rest

1993

A 10‐year‐old Jack Russell terrier bitch and a nine‐year‐old standard dachshund bitch were presented with abdominal enlargement and weight increase; neither had a history of ill health. In each case an extensive soft tissue mass was clearly palpable in the abdomen and following an exploratory laparotomy a partial hepatectomy was performed. Both bitches made a good postoperative recovery followed by a normal active life. In each case the survival time was six months before renewed tumour development lead to a sudden and rapid decline; case 1 was euthanased and case 2 died peacefully.